02 6828 1183

Membership Renewal

    *Membership Number (required)

    As shown on Membership Card

    *First Name (required)

    As shown on Membership Card

    *Surname (required)

    As shown on Membership Card

    Mobile Phone (preferred)

    Home Phone

    *Email Address (required)

    *Residential Address





    Postal Address (if different from above)





    *Please select a renewal option

    *Pensioner Number (required)

    *I hereby agree to renew my membership at Walgett RSL Club and agree to be bound by the memorandum and articles of association and any rules and regulations of the club. I acknowledge that I will receive communication electronically from the Club including but not limited to AGM and renewal notices and other marketing.